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psnet.ahrq.gov/node/867022/psn-pdf
October 30, 2024 - over-the-counter ibuprofen, as well
as some forgetfulness and concentration difficulties as he tried going back … However, about two weeks later, the patient’s wife
insisted that he go back to the hospital for worsening
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psnet.ahrq.gov/issue/measuring-quality
June 21, 2017 - May 8, 2024
Adverse events in long-term care residents transitioning from hospital back
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psnet.ahrq.gov/web-mm/miscalculated-risk
March 01, 2015 - The Case A healthy 36-year-old man was admitted to a teaching hospital for acute low back strain after
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psnet.ahrq.gov/node/49440/psn-pdf
March 01, 2004 - However, these differential diagnoses are given for a reason, and
sometimes, when one looks back to
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psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
March 01, 2017 - Meeting participants broke into groups to review and discuss the data, and then they reported back to … Folks like you have helped teach us about it. … They may hang out there for a week or more, and they will simply come back and describe what they've … Then not infrequently, we go feed it back to where we've done the observations. … It comes back to your point earlier: is there really a distinction between the people and the systems
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psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
September 01, 2006 - The data were then fed back to each VISN and facility. … Health PolicyHarvard School of Public HealthStaff Physician, VA Boston Healthcare System
References
Back … We did our first cultural survey back in 1998 to set the benchmark.
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psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
May 01, 2009 - RW: You have spent a fair amount of your time and energy trying to teach economic principles to clinicians … way: the patient may not follow through to get what has been requested; the results may not arrive back … Baron, MD CEO, Greenhouse Internists, PCChair, American Board of Internal Medicine
References
Back
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psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
January 01, 2021 - or
multi-port connectors/IV extension sets are used to simultaneously deliver
IV medications
• Back-check … Utilize infusion sets with back-check valves and multi-port extension sets
7. … Furniss D, Back J, Blandford A.
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psnet.ahrq.gov/web-mm/autopsy-revelation
December 01, 2007 - However, these differential diagnoses are given for a reason, and sometimes, when one looks back to understand
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psnet.ahrq.gov/node/49508/psn-pdf
January 01, 2007 - the clinic, hospital, or
pharmacy, LEP patients and their families should always be asked to repeat back
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psnet.ahrq.gov/web-mm/inside-time-out
March 01, 2004 - relieving another, spent valuable OR time reorganizing a set of complicated orthopedic instruments on the back
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psnet.ahrq.gov/node/33818/psn-pdf
November 01, 2016 - Then
building data systems to be able to monitor those risks and ultimately to develop tools to push back
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psnet.ahrq.gov/web-mm/missed-appendicitis
March 13, 2013 - guideline to ensure consideration of key diagnoses, clinicians can adopt rules of thumb for when to step back
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psnet.ahrq.gov/node/49531/psn-pdf
March 01, 2007 - Failure to Report
March 1, 2007
Spath P. Failure to Report. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/failure-report
Case Objectives
List common causes of medical errors.
Appreciate the magnitude of underreporting of adverse events.
List the common barriers to reporting adverse events and near misses…
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psnet.ahrq.gov/node/49606/psn-pdf
August 01, 2010 - However, most morbidly obese patients also
have back and knee osteoarthritis, which severely limits
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psnet.ahrq.gov/web-mm/getting-root-matter
September 01, 2005 - of teaching hospitals routinely require that verbal orders given by a supervising physician be “read back … expectations for fellow/resident/nursing Medium Communication practices No “read-back
-
psnet.ahrq.gov/node/49483/psn-pdf
June 01, 2005 - of teaching hospitals routinely require that verbal orders given by a supervising physician be “read back … Unclear roles and expectations for
fellow/resident/nursing
Medium
Communication practices No “read-back
-
psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
March 27, 2024 - over-the-counter ibuprofen, as well as some forgetfulness and concentration difficulties as he tried going back … However, about two weeks later, the patient’s wife insisted that he go back to the hospital for worsening
-
psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
July 31, 2023 - draw attention to the vegetation finding in this case earlier after patient discharge and transfer back
-
psnet.ahrq.gov/node/60858/psn-pdf
August 26, 2020 - patient
empowerment, caregivers should be trained in how to increase patients’ capacity for self-care.37 Teach … -
back is one method through which healthcare providers can ensure that they have explained medical